Provider Demographics
NPI:1588079958
Name:KIERSZ MUELLER, BARBARA MICHELLE (DO, BS, AA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:MICHELLE
Last Name:KIERSZ MUELLER
Suffix:
Gender:F
Credentials:DO, BS, AA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:14960 PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5165
Mailing Address - Country:US
Mailing Address - Phone:281-298-1144
Mailing Address - Fax:281-298-1133
Practice Address - Street 1:401 RANCH ROAD 620 S STE 210
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5304
Practice Address - Country:US
Practice Address - Phone:512-330-4779
Practice Address - Fax:281-298-1133
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR2142207Q00000X, 2080P0006X
GA6997207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX374732101Medicaid
TX374732102Medicaid